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R8vdfrii8 @ <br />Woshington State Ordinance / Resolution No. <br />RCW 84.ss.120 <br />lt-09-24-04 <br />WHEREAS, the Board of Commissioners <br />(Goveming body of the taxing district) <br />of Kittitas County Public has met and considered <br />Hospital Dist 2IEMS <br />(Name of the taxing district) <br />; and, <br />its budget for the calendar year 2021 ; and, <br />WHEREAS, the districts actual levy amount from the previous year was $ 714,217.55 <br />(Previous year's levy amount) <br />WHEREAS, the population of this district is ffi more than or I less than 10,000; and now, therefore, <br />(Check one) <br />BE IT RESOLVED by the governing body of the taxing district that an increase in the regular property tax levy <br />is hereby authorized for the levy to be collected inthe 2021 tax year. <br />(Year ofcollection) <br />The dollar amount of the increase over the actual levy amount from the previous year shall be $,|142.18 <br />which is a percentage increase of 1.0 _Yo from the previous year. This increase is exclusive of <br />lferceniage increas"l <br />additional revenue resulting from new construction, improvements to property, newly constructed wind turbines, <br />solar, biomass, and geothermal facilities, and any increase in the value of state assessed property, any annexations <br />that have occurred and refunds made. <br />Adopted this 9 day of November 2020 <br />r <br />4--.' <br />If additional signatures are necessary, please attach additionat page. <br />This form or its equivalent must be submitted to your county assessor prior to their calculation of the property tax <br />levies. A certified budget/levy request, separate from this form is to be filed with the Counff Legislative Authority <br />no later than November 30tr'. As required by RCW 84.52.020,that filing certifies the total amount to be levied by <br />the regular property tax levy. The Department of Revenue provides the "Levy Certification" form (REV 64 0100) <br />for this purpose. The form can be found at: http://dor.wa.gov/docs/forms/PropTx/FormsllevyCertf.doc. <br />To ask about the availability of this publication in an alternate format, please call l-800-647-7706. Teletype (TTY) users may <br />use the Washington Relay Service by calling 7l l. For tax assistance, call (360) 534-1400. <br />REV 64 0l0le (w) (I2l9ll4)